States would then have to pay out of their own state budgets to make up for the difference or scale back Medicaid enrollment or services.

GOP leaders delayed a vote on the new bill until after the July 4 recess when several Republican senators indicated they would oppose a motion to bring the bill to a vote.

Nine GOP senators have now said they would oppose the bill. Senate Majority Leader Mitch McConnell (R-Ky.) said the party would take the coming weeks to work on the bill and resolve differences among senators.